Research Article
BibTex RIS Cite

DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ

Year 2019, , 156 - 160, 31.08.2019
https://doi.org/10.24938/kutfd.532739

Abstract



Amaç: Hipospadias penil üretranın anormal
gelişimi sonucu eksternal meanın normal lokalizasyonunda olmayıp hemen glansın
altında, penis gövdesi, skrotum veya perineumda bulunması ile karakterize
konjenital bir anomalidir. Bu çalışmada son 8 yıl içinde kliniğimize distal
hipospadias nedeni ile başvuran ve TIPU yöntemi ile üretroplasti operasyonu
yapılan hastaların değerlendirilmesi amaçlandı.

Gereç ve Yöntemler:
2010-2018 yılları
arasında TIPU yöntemi ile üretroplasti yapılan 129 hipospadiaslı olgunun
kayıtları geriye dönük olarak incelendi. Hastaların yaşları, hastanede kalış
süreleri, ortalama takip süreleri, eksternal meanın yerleşimi (glandüler,
koronal, subkoronal, distal penil ve midpenil), kordi varlığı, stent süreleri,
ameliyat sonrası fistül gelişimi, meatal stenoz ve striktür gibi olası
komplikasyon çeşitleri değerlendirildi.

Bulgular: Hastalarımızın 102’si primer olgu iken
(%79), 27’si sekonder olguydu (%21). Operasyon sonrası başarı oranı primer ve
sekonder olgularda sırası ile %85.3 ve %77.7 olarak bulundu. Komplikasyon oranı
ise sırası ile %14.7 ve %22.2 olarak tespit edildi.







Sonuç: TIPU tekniği
primer ve sekonder distal hipospadias olgularında başarı ile uygulanacak bir
yöntemdir.

References

  • 1. Kayıkçı AM, Çam K, Akman RY, Erol A. Düzce ilinde ilköğretim çağındaki erkek çocuklarda dış genital anomali oranları. Türk Üroloji Dergisi. 2005;31(1):79-81.
  • 2. Dolk H. Epidemiology of hipospadias. In: Hadidi AT, Azmy AF, eds. Hypospadias surgery. Berlin. Springer, 2004:51-7.
  • 3. Issı Y, Germiyanoğlu C. Hipospadias-Epispadias- Ekstrofi Vezikal. In: Seçkiner İ, Bayrak Ö, eds. Güncel Üroloji. 2. baskı. İstanbul. Türk Üroloji Derneği, 2016:921-41.
  • 4. Hadidi AT, Azmy AF. Hypospadias Surgery: An Illustrated Guide. Berlin Heidelberg. Springer-Verlag, 2004:51-163.
  • 5. Bush NC, Holzer M, Zhang S, Snodgrass W. Age does not impact risk for urethroplasty complications after tubularized incised plate repair of hypospadias in prepubertal boys. J Pediatr Urol. 2013;9(3):252-6.
  • 6. Weber DM, Schonbucher VB, Gobet R, Gerber A, Landolt MA. Is there an ideal age for hypospadias repair? A pilot study. J Pediatr Urol. 2009;5(5):345-50.
  • 7. Eassa W, Jednak R, Capolicchio JP, Brzezinski A, El-Sherbiny M. Risk factors for re-operation following tubularized incised plate urethroplasty: a comprehensive analysis. Urology. 2011;77(3):716-20.
  • 8. Snodgrass W: Tubularized incised plate urethroplasyt for distal hypospadias. J Urol. 1994;151(2):464-5.
  • 9. Celayir SM, Elicevik G, Tireli S, Dervisoglu S, Sander S. Expression of estrogen and androgen receptors in children with hypospadias: preliminary report. Arch Androl. 2007;53(2):83-5.
  • 10. Soylet Y, Penis anomalileri. Turk Arch Ped. 2010;45(Suppl):94-9.
  • 11. Duckett JW. MAPGI (meatal advancement and glanuloplasty): A procedure for subcoronal hypospadias. Urol Clin North Am. 1981;8(3):513-9.
  • 12. Hollowell J, Keating M, Snyder HM, Duckett JW. Preservation of the urethral plate in hypospadias repair: extended application and further experience with the onlay island flap urethroplasty. J Urol. 1990;143(1):98-100.
  • 13. Wiener JS, Sutherland RW, Roth DR, Gonzales ET. Comparison of onlay and tubularized island flaps of inner preputial skin for the repir of proximal hypospadias. J Urol. 1997;158(3 Pt 2):1172-4.
  • 14. Baskin LS, Duckett JW, Ueoka K, Seibold J, Snyder HM 3rd. Changing concepts of hypospadias curvature lead to more onlay island flap procedures. J Urol. 1994;151(1):191-6.
  • 15. İmamoglu MA, Kiper A, Tuygun C, Gucuk A. Results of TIPU on patients with primary and recurrent hypospadias. J Ankara Med School. 2003;25(4):179-184.
  • 16. Cakan M, Yalcinkaya F, Demirel F, Aldemir M, Altug U. The midterm success rates of tubularized incised plate urethroplasty in reoperative patients with distal or midpenile hypospadias. Pediatr Surg Int. 2005;21(12):973-6.
  • 17. Tokuç R, Başok EK, Memiş ÖF, Peltekoğlu E, Ünlüsoy Z, Atsü N. Distal ve Mid-Penil Hipospadias Cerrahisinde Snodgrass Prosedürü. Göztepe Tıp Dergisi. 2004;19(1):7-9.

TIPU Technique in Distal Hypospadias Repair: Experience of 8 Years

Year 2019, , 156 - 160, 31.08.2019
https://doi.org/10.24938/kutfd.532739

Abstract

Objective: Hypospadias is a congenital disorder
due to abnormal development of the penile urethra resulting in abnormal
localization of the external urethral meatus in the penile corpus, scrotum or
perineum. In this study, we aimed to evaluate the patients who underwent
urethroplasty with TIPU technique due to hypospadias in the last 8 years
period.

Material and Methods: Medical records of 129 patients with a
history of urethroplasty with TIPU technique between the years 2010-2018 were
evaluated retrospectively. Age of the patients, duration of hospital stay and
postoperative follow-up, localization of the external meatus (glanular, coronal,
subcoronal, distal penile and midpenile), presence of chordee, duration of
urethral stenting and the rate of complications like fistula formation, meatal
stenosis and stricture were recorded.

Results: A hundred and two of the cases were
primary (79%) while 27 of the cases were recorded as secondary (21%).
Postoperative success rate was recorded as 85.3%in primary and 77.7%in
secondary cases. Complication rates were found as 14.7% and 22.2% respectively.







Conclusion: TIPU technique is a safe and effective
method which can be applied successfully in the treatment of primary and
secondary hypospadias cases.

References

  • 1. Kayıkçı AM, Çam K, Akman RY, Erol A. Düzce ilinde ilköğretim çağındaki erkek çocuklarda dış genital anomali oranları. Türk Üroloji Dergisi. 2005;31(1):79-81.
  • 2. Dolk H. Epidemiology of hipospadias. In: Hadidi AT, Azmy AF, eds. Hypospadias surgery. Berlin. Springer, 2004:51-7.
  • 3. Issı Y, Germiyanoğlu C. Hipospadias-Epispadias- Ekstrofi Vezikal. In: Seçkiner İ, Bayrak Ö, eds. Güncel Üroloji. 2. baskı. İstanbul. Türk Üroloji Derneği, 2016:921-41.
  • 4. Hadidi AT, Azmy AF. Hypospadias Surgery: An Illustrated Guide. Berlin Heidelberg. Springer-Verlag, 2004:51-163.
  • 5. Bush NC, Holzer M, Zhang S, Snodgrass W. Age does not impact risk for urethroplasty complications after tubularized incised plate repair of hypospadias in prepubertal boys. J Pediatr Urol. 2013;9(3):252-6.
  • 6. Weber DM, Schonbucher VB, Gobet R, Gerber A, Landolt MA. Is there an ideal age for hypospadias repair? A pilot study. J Pediatr Urol. 2009;5(5):345-50.
  • 7. Eassa W, Jednak R, Capolicchio JP, Brzezinski A, El-Sherbiny M. Risk factors for re-operation following tubularized incised plate urethroplasty: a comprehensive analysis. Urology. 2011;77(3):716-20.
  • 8. Snodgrass W: Tubularized incised plate urethroplasyt for distal hypospadias. J Urol. 1994;151(2):464-5.
  • 9. Celayir SM, Elicevik G, Tireli S, Dervisoglu S, Sander S. Expression of estrogen and androgen receptors in children with hypospadias: preliminary report. Arch Androl. 2007;53(2):83-5.
  • 10. Soylet Y, Penis anomalileri. Turk Arch Ped. 2010;45(Suppl):94-9.
  • 11. Duckett JW. MAPGI (meatal advancement and glanuloplasty): A procedure for subcoronal hypospadias. Urol Clin North Am. 1981;8(3):513-9.
  • 12. Hollowell J, Keating M, Snyder HM, Duckett JW. Preservation of the urethral plate in hypospadias repair: extended application and further experience with the onlay island flap urethroplasty. J Urol. 1990;143(1):98-100.
  • 13. Wiener JS, Sutherland RW, Roth DR, Gonzales ET. Comparison of onlay and tubularized island flaps of inner preputial skin for the repir of proximal hypospadias. J Urol. 1997;158(3 Pt 2):1172-4.
  • 14. Baskin LS, Duckett JW, Ueoka K, Seibold J, Snyder HM 3rd. Changing concepts of hypospadias curvature lead to more onlay island flap procedures. J Urol. 1994;151(1):191-6.
  • 15. İmamoglu MA, Kiper A, Tuygun C, Gucuk A. Results of TIPU on patients with primary and recurrent hypospadias. J Ankara Med School. 2003;25(4):179-184.
  • 16. Cakan M, Yalcinkaya F, Demirel F, Aldemir M, Altug U. The midterm success rates of tubularized incised plate urethroplasty in reoperative patients with distal or midpenile hypospadias. Pediatr Surg Int. 2005;21(12):973-6.
  • 17. Tokuç R, Başok EK, Memiş ÖF, Peltekoğlu E, Ünlüsoy Z, Atsü N. Distal ve Mid-Penil Hipospadias Cerrahisinde Snodgrass Prosedürü. Göztepe Tıp Dergisi. 2004;19(1):7-9.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Tunç Ozan 0000-0001-5811-5220

Ahmet Karakeçi This is me 0000-0003-2097-9853

Publication Date August 31, 2019
Submission Date February 26, 2019
Published in Issue Year 2019

Cite

APA Ozan, T., & Karakeçi, A. (2019). DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ. The Journal of Kırıkkale University Faculty of Medicine, 21(2), 156-160. https://doi.org/10.24938/kutfd.532739
AMA Ozan T, Karakeçi A. DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ. Kırıkkale Üni Tıp Derg. August 2019;21(2):156-160. doi:10.24938/kutfd.532739
Chicago Ozan, Tunç, and Ahmet Karakeçi. “DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ”. The Journal of Kırıkkale University Faculty of Medicine 21, no. 2 (August 2019): 156-60. https://doi.org/10.24938/kutfd.532739.
EndNote Ozan T, Karakeçi A (August 1, 2019) DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ. The Journal of Kırıkkale University Faculty of Medicine 21 2 156–160.
IEEE T. Ozan and A. Karakeçi, “DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ”, Kırıkkale Üni Tıp Derg, vol. 21, no. 2, pp. 156–160, 2019, doi: 10.24938/kutfd.532739.
ISNAD Ozan, Tunç - Karakeçi, Ahmet. “DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ”. The Journal of Kırıkkale University Faculty of Medicine 21/2 (August 2019), 156-160. https://doi.org/10.24938/kutfd.532739.
JAMA Ozan T, Karakeçi A. DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ. Kırıkkale Üni Tıp Derg. 2019;21:156–160.
MLA Ozan, Tunç and Ahmet Karakeçi. “DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ”. The Journal of Kırıkkale University Faculty of Medicine, vol. 21, no. 2, 2019, pp. 156-60, doi:10.24938/kutfd.532739.
Vancouver Ozan T, Karakeçi A. DİSTAL HİPOSPADİAS ONARIMINDA TIPU TEKNİĞİ: 8 YILLIK DENEYİMİMİZ. Kırıkkale Üni Tıp Derg. 2019;21(2):156-60.

Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.